【摘要】 目的　为了避免高位胃溃疡、胃癌行近侧胃大部切除或全胃切除术后，由于内因子缺乏引起的贫血和无胃综合征。方法　按个体病变部位和性质设计上切线，保留贲门侧健康胃组织，经整形缝合后重建上胃肠道。结果　经34例临床应用观察随访（随访率100%），其疗效满意。结论　采用不规则形胃大部切除术减少了近侧胃大部或全胃切除术后并发症。更多还原

【Abstract】 ：Objective To avoid megaloblastic anemia due to a deficiency of the intrinsic factor and syndrome after proximal margin subtotal gastrectomy or total gastrectomy in highly situated gastric ulcer or gastric carcinoma. Methods The upper edge of the resected line is individually designed that it fits the location and character of the lesion. By this method some of the proximal gastric wall is preserved，and upper gastrointestinal wall reconstructed with plastic suture. Results We practiced this modified technic clinically in 34 patients with satisfactory results (following-up 100%). Conclusion The complications of proximal margin subtotal gastrectomy or total gastrectomy is reduced by irregular subtotal gastrectomy.更多还原